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Sys
Stim
226
®
*
Instruction Manual
Inc.
www.medicaldevicedepot.com
1-877-646-3300
®

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Summary of Contents for Mettler Electronics Sys*Stim 226

  • Page 1 Stim ® Instruction Manual Inc. www.medicaldevicedepot.com 1-877-646-3300 ®...
  • Page 2 Mettler Electronics Corp.— Rev. D_11/09...
  • Page 3: Table Of Contents

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Table of Contents Section Title Page Introduction Introduction to the Sys * Stim 226 Introduction to this Manual Safety Precautions Caution Shipping Damage Package Contents Limited Warranty Symbol Glossary and List of Abbreviations Symbol Glossary List of Abbreviations Installation...
  • Page 4 Mettler Electronics Corp.— Rev. D_11/09 List of Figures No. Title Page Sys * Stim 226 and Accessories Sys * Stim 226, Bottom view—Mains Power Switch and Line cord connections Front membrane panel and LED indicators Electrode Sizes and Current Density...
  • Page 5: Introduction

    Use the lightweight and portable Sys * Stim 226 in home health as well as in the clinic. Teamed up with a Mettler Electronics Sonicator, the Sys * Stim 226 can provide combination therapy. Add the optional treatment cart along with a Sonicator therapeutic ultrasound to ®...
  • Page 6: Introduction To This Manual

    General safety guidelines for medical electronic equipment should be followed. A maintenance manual for the Sys * Stim 226 is available from Mettler Electronics Corp. for a small fee. For more information, contact Customer Service by calling toll free at (800) 854–9305, telephone: (714) 533–2221, Fax: (714) 635–7539 or via email,...
  • Page 7: Package Contents

    The Sys * Stim 226 neuromuscular electrical stimulator is warranted against defects in materials and workmanship for a period of two years from date of purchase. During the applicable warranty period Mettler Electronics Corp. will, at its discretion, either repair or replace the Product without charge for these types of defects.
  • Page 8 Mettler Electronics Corp.— Rev. D_11/09...
  • Page 9: Symbol Glossary And List Of Abbreviations

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Section 2—Symbol Glossary and List of Abbreviations 2.1 Symbol Glossary Time display Channel timer indicator LED’s. Example: Indicator LED for channel 1 will be lit when the time displayed is for channel 1 in the 2-timer mode. Both indicators will be lit when the time displayed applies to both channels.
  • Page 10 Mettler Electronics Corp.— Rev. D_11/09 Phase duration control selector—Press this button during a biphasic μ treatment to display phase duration. Frequency control selector—Press this button during a biphasic treatment to display frequency. Amplitude modulation, used for interferential waveform only. LED is illuminated when this function is activated.
  • Page 11: List Of Abbreviations

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Mains On. Mains Off. Refer to instruction manual for directions. 2.2 List of Abbreviations cm² — square centimeters — Hertz (pulses per second) — Light Emitting Diode — milliampere (1/1000 ampere) — minutes —...
  • Page 12 Mettler Electronics Corp.— Rev. D_11/09...
  • Page 13: Installation

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Section 3—Installation 3.1 Installation Instructions 1. Connect the line cord to the bottom of the Sys * Stim 226. (See Figure 3.1) 2. Plug the line cord into a grounded wall outlet that has 115 VAC, 50/60 Hz. Your power supply must match the voltage requirements listed on the serial number label of your device.
  • Page 14 Mettler Electronics Corp.— Rev. D_11/09...
  • Page 15: Operating Instructions

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Section 4—Operating Instructions 00 00 00.00 μ 1-15 Hz 80-150 Hz 1-150 Hz Hz -Hz μ ® SYS STIM ® Figure 4.1—Front membrane panel and LED indicators...
  • Page 16: A Note About Electrodes

    Mettler Electronics Corp.— Rev. D_11/09 4.1 A Note About Electrodes To ensure safe operation of the Sys*Stim 226, follow the recommendations listed below: 1. We strongly encourage careful maintenance of the electrode system. This includes the lead wires as well as the pads themselves. Worn cables and/or poor pads (or the wrong sized pads) can have a significant impact upon treatment results.
  • Page 17: Operating Instructions

    Review precautions, contraindications and side effects/adverse reactions listed in Section 5. b) Use Mettler Electronics electrodes to ensure safe and effective operation. c) Verify connection of the line cord to a grounded wall receptacle and the Sys * Stim 226.
  • Page 18 Biphasic μ 50–300 μs using the numeric key pad and then press . The Sys*Stim 226 stores the value of the last phase duration used and displays it in the μ timer window. If the displayed value is the one...
  • Page 19 Sys * Stim 226 Instruction Manual— Rev. D_11/09 7. Select the amplitude modulation method for this • Continuous treatment session for the Premodulated, Medium Frequency and Biphasic modes only. The default is continuous. • Surge Surge Mode • Press the “Surge” button to select on and off times.
  • Page 20 Mettler Electronics Corp.— Rev. D_11/09 then press . Press the surge button and then follow the instructions to set on/off times in the surge mode. First channel one will be on for the set on time and then channel two will come on during the set off time.
  • Page 21 Sys * Stim 226 Instruction Manual— Rev. D_11/09 adjust intensity to the desired level. Then press again to initiate the treatment cycle. The intensity may be adjusted only during the “On” part of the “Surge” cycle. • In the “Reciprocation” mode, The Sys * Stim 226 will prompt you to adjust the intensity in Channel 1.
  • Page 22: Electrode Positioning

    Mettler Electronics Corp.— Rev. D_11/09 • In the “Two Timer” mode, pressing the lower button stops treatment in both channels. 13. In the “Two Timer” mode, use this button to either program or view the time remaining for the other channel.
  • Page 23: Quadpolar Electrode Placement Technique

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 3. Quadpolar electrode application technique Quadpolar techniques should be used with the “Interferential” waveform. The electrodes from Channel 1 are placed diagonally from each other. While the electrodes from Channel 2 are placed diagonally across from each other to form an “X”...
  • Page 24: Monopolar Electrode Placement Technique

    Mettler Electronics Corp.— Rev. D_11/09 5. Monopolar electrode application techniques Monopolar techniques may be used with the “Premodulated”, “Medium Frequency” and “Biphasic” waveforms. The smaller, active, electrode (black and negative) is placed over the muscle motor point. In treatments designed to relieve pain, the Figure 4.5—Monopolar...
  • Page 25: Combination Therapy Using The Sys * Stim 226 And The Sonicator

    Application of simultaneous therapeutic ultrasound and electrical neuromuscular stimulation can be accomplished using the pulsed waveforms from the Sys * Stim 226 with a Sonicator therapeutic ultrasound unit from Mettler Electronics Corp. In this technique, the ultrasound applicator delivers the ultrasonic energy and becomes the active electrode for muscle stimulation.
  • Page 26: Combination Therapy

    Mettler Electronics Corp.— Rev. D_11/09 Figure 4.7—Combination Therapy Ultrasound + Stimulation Application Dispersive Electrode Figure 4.8—Application of Combination Therapy...
  • Page 27: Indications, Contraindications, Precautions And Adverse

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Section 5— Indications, Contraindications, Precautions and Adverse Reactions 5.1 Indications The application of pulsating electric currents to the body via electrodes elicits responses from nerves, which conduct pain sensation and muscle contraction information. Stimulation of sensory fibers will help block pain while the stimulation of motor fibers will generate pulsatile contractions of the muscle groups innervated by the nerves being stimulated.
  • Page 28: Warnings

    Mettler Electronics Corp.— Rev. D_11/09 7. Fresh fractures should not be stimulated in order to avoid unwanted motion. 8. Do not apply stimulation transcerebrally (through the head). 9. Do not use on cancer patients. 10. Stimulation should not be applied immediately following trauma or to tissues susceptible to hemorrhage.
  • Page 29: Side Effects/Adverse Reactions

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 5. Avoid placing electrodes directly over open wounds since current density tends to concentrate in these areas. 6. Use extreme caution when treating desensitized areas or on patients who may not be able to report discomfort or pain.
  • Page 30 Mettler Electronics Corp.— Rev. D_11/09...
  • Page 31: Maintenance And Troubleshooting

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Section 6—Maintenance and Troubleshooting 6.1 Cleaning the Sys * Stim 226 1. The Sys * Stim 226 can be wiped off with a damp cloth. The power cord should be disconnected from the unit before this is done. In the case of stubborn dirt a gentle household cleaner can be sprayed on the cloth and then wiped on the unit.
  • Page 32 Mettler Electronics Corp.— Rev. D_11/09 5. “E_05” displayed in Time Output overcurrent detected. Current exceeded 70 window. mA RMS for interferential, 55 mA for premodulated, and medium frequency or 105 mA peak for biphasic. Reposition electrodes farther apart. Remove any moisture or gel from between the electrodes and try again.
  • Page 33: References

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Section 7—References 1. Baker, L.L., Bowman, B.R., and McNeal, D.R.: “Effects of Waveform on Comfort During Neuromuscular Electrical Stimulation”, Clinical Orthopedics and Related Research, No. 233, pp. 75–85, August, 1988. 2. Belcher, J.: "Interferential Therapy", N.Z. Journal of Physiotherapy, 6:29-34, 1974. 3.
  • Page 34 Mettler Electronics Corp.— Rev. D_11/09 19. Lutz, G.E., Stuart, M.J. and Sim, F.H.: “Rehabilitative Techniques for Athletes after Reconstruction of the Anterior Cruciate Ligament”, Mayo Clin Proc, (65:1322–1329, 1990. 20. Jaskoviak, P.A. and Schafer, R.C.: Applied Physiotherapy – Practical Clinical Applications with Emphasis on the Management of Pain and Related Syndromes, Associated Chiropractic Academic Press (A.C.A.), 1986.
  • Page 35: Specifications

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Section 8—Specifications 8.1 General Specifications: Input: 115 VAC ±10%, 50/60 Hz, 0.4 Amp Nom. Weight: 4.8 pounds Dimensions: 4.3 in (H) x 6 in (D) x 13.4 in (L) Operating Temperature: +50°F to +131°F Humidity: Operating, 30% to 75% Relative Humidity at 104°F Nonoperating, up to 90% Relative Humidity at 149°F...
  • Page 36: Premodulated Waveform

    Mettler Electronics Corp.— Rev. D_11/09 125 μs Phase Duration: Available Amplitude Modulation Options: Vector rotation Two Timer Option: Premodulated Mode Waveform Type: Amplitude modulated sine wave Volts: 0–50 volts RMS, 1 Kohm load Current: 0–50 mA RMS, 1 Kohm load...
  • Page 37: Medium Frequency (Russian) Waveform

    Sys * Stim 226 Instruction Manual— Rev. D_11/09 Medium Frequency Mode Waveform Type: Burst modulated sine wave Volts: 0–50 volts RMS, 1 Kohm load Current: 0–50 mA RMS, 1 Kohm load Average current at maximum intensity and frequency: 50 mA RMS Maximum current Figure 8.3—Medium Frequency density under 2"...
  • Page 38: Amplitude Modulation Specifications

    Mettler Electronics Corp.— Rev. D_11/09 8.3 Amplitude Modulation Specifications: Interferential Mode Only, Vector rotation: ±50% amplitude modulation in anti phase with an eight second modulation period. Two timer option Premodulated, Medium Frequency and Biphasic Pulsed Surge Mode: Modes Up ramp:...

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